Title: Nurse service project and price present situation research and countermeasure ABSTRACT Backgroud: In the 1980s the US originated the nursing economic, mainly paid attention to the nursing cost, the price, the demand, the supplies and to nurses the market development from the different angle, the nursing cost accounting, the nursing insurance implementation and so on has conducted the comprehensive study. Our country nurses the economic research start to be late, but each kind of nursing staffs to have nursed the human resources, the nursing cost, aspects and so on nurse service benefit have carried on the exploration, has made the preliminary progress. Because lacks to nurses the value the synthetic study, in our country, the nurse service value not yet obtains true manifestation, like diagnosing and treating, the treatment, the guardianship, the observation and the foundation nursing technology's value manifests and expresses. since 2001 the National Medical department, the National Chinese medicine Administrative bureau and national Development and Planning Commission has issued "the Nation Medical service Price Project Standard (Implementation)" (hereafter refers to as "Standard") is jointly the founding of the nation first time carries on the unified regulations by the national health and the price Department responsible for the work to the nation medical service price project, to reform our country medical service price administration system to lay the foundation. However passes through the research, this "Standard" has not manifested the nurse service fully the value. Objectives: Through causes to the present nurse service project and the price investigation and study nurses the colleague the value, enlarges this aspect research dynamics, the discussion increases the nurse service project the way and the nurse service cost accounting method, establishes the standard gradually the nurse service project system and the reasonable nurse service price system; Causes the related department the attention which manifests to the nurse service cost and the value, when revises "Standard" needs and patient's demand according to the practical work increases the nurse service fee item, in development cost accounting foundation for nurse service project fair pricing. Methods: Used the statistical table to analyze in 2003 the version "the Anhui Province Medical service Price Project Standard (Implementation)" the nurse service project and the price present situation; Nurses the intervention service items classification principle based on the US, completes the tracheotomy nursing cost classification, has calculated the tracheotomy nursing item cost. Results: Proposed increases the nurse service project the way; The example has lifted the nurse service cost accounting method; Divides into 7 projects tracheotomy nursing, and calculates each single item cost. Conclusion: The nurse service price project lacked has limited the nursing quality enhancement; Has affected the nursing troop's stability; Has hindered the nursing discipline and the medical expense structure malformed development. Should need and patient's demand according to the practical work increases the nurse service fee item; In standard development cost accounting foundation for nurse service project fair pricing. KEY WORDS: nurse service project, nurse service price, nursing cost, nursing cost accounting TYPE OF THESIS: Other
